Nokea
A patient is prescribed a beta-blocker for the management of migraine headaches. Which adverse effect should the nurse monitor closely in the patient?
- A. Hypertension
- B. Bradycardia
- C. Hyperglycemia
- D. Constipation
Correct Answer: B
Rationale: Beta-blockers work by blocking the effects of adrenaline on beta receptors in the body. One common adverse effect of beta-blockers is bradycardia, or a slowed heart rate. Since the patient is being prescribed a beta-blocker for migraine headaches, it is important for the nurse to monitor closely for signs and symptoms of bradycardia such as dizziness, fatigue, and fainting. Monitoring the heart rate regularly and reporting any significant decrease to the healthcare provider is essential to prevent complications associated with bradycardia. Compared to the other options, bradycardia is the most relevant adverse effect to monitor in a patient prescribed a beta-blocker.
You may also like to solve these questions
When handling vaccines, the FIRST step Nurse Gabriela should do is to ________.
- A. Select the correct needle size.
- B. Check the content prior to drawing up.
- C. Reconstitute using diluent supplied.
- D. Check the vial for expiration date..
Correct Answer: D
Rationale: The first step Nurse Gabriela should do when handling vaccines is to check the vial for the expiration date. It is crucial to ensure that the vaccine has not expired before proceeding with any further steps. Administering an expired vaccine can be ineffective or even harmful to the patient. Therefore, checking the expiration date is the foundational step in the safe and proper administration of vaccines.
A postpartum client presents with persistent, severe abdominal pain, tenderness, and rigidity. Which nursing action is most appropriate?
- A. Administering analgesics for pain relief
- B. Assisting the client to a comfortable position
- C. Notifying the healthcare provider immediately
- D. Providing emotional support and reassurance
Correct Answer: C
Rationale: Persistent, severe abdominal pain, tenderness, and rigidity in a postpartum client can be indicative of serious conditions such as uterine rupture, hemorrhage, or infection, which require urgent medical attention. As a nurse, the priority action in this situation is to notify the healthcare provider immediately so that appropriate interventions can be initiated promptly to ensure the safety and well-being of the client. Administering analgesics or providing emotional support may not address the underlying cause of the symptoms and could potentially delay necessary medical treatment. Assisting the client to a comfortable position can be considered once the healthcare provider has been informed and appropriate assessments and interventions have been initiated.
A patient presents with watery diarrhea, abdominal cramps, and nausea after consuming contaminated water from a stream during a camping trip. Laboratory tests reveal oocysts in the stool sample. Which of the following parasites is most likely responsible for this infection?
- A. Giardia lamblia
- B. Entamoeba histolytica
- C. Cryptosporidium parvum
- D. Cyclospora cayetanensis
Correct Answer: C
Rationale: Cryptosporidium parvum is a protozoan parasite often found in contaminated water sources. This parasite is known to cause watery diarrhea, abdominal cramps, and nausea in infected individuals. The presence of oocysts in the stool sample is characteristic of Cryptosporidium infection. Other parasitic infections may present with similar symptoms, but in this case, the most likely culprit based on the exposure history and laboratory findings is Cryptosporidium parvum.
A rape victim tells the emergency nurse, I feel so dirty. Help me take a shower before I get examined. The nurse should:
- A. arrange for the victim to shower.
- B. give the victim a basin of water and towels.
- C. offer the victim a shower after evidence is collected .
- D. explain that bathing facilities are not available in the emergency department.
Correct Answer: C
Rationale: The correct response for the nurse in this situation would be to offer the victim a shower after evidence is collected. It is essential to preserve any physical evidence that may be present from the assault during the forensic examination. Allowing the victim to shower before evidence is collected could potentially compromise the evidence and hinder the investigation. The nurse should provide support to the victim during this difficult time and assure them that they will have the opportunity to shower once the necessary evidence is obtained. It is also crucial for the nurse to offer empathy and understanding while explaining the importance of preserving any evidence related to the assault.
Which of the following laboratory findings is characteristic of a patient with a diagnosis of gestational diabetes mellitus (GDM)?
- A. Fasting blood glucose ≥126 mg/dL
- B. Random plasma glucose ≥200 mg/dL
- C. Hemoglobin A1c (HbA1c) ≥6.5%
- D. Oral glucose tolerance test (OGTT) 2-hour plasma glucose ≥140 mg/dL
Correct Answer: D
Rationale: The diagnosis of gestational diabetes mellitus (GDM) is typically confirmed through an oral glucose tolerance test (OGTT) during pregnancy. In GDM, the 2-hour plasma glucose level during the OGTT is equal to or greater than 140 mg/dL. This finding is characteristic of GDM and distinguishes it from other types of diabetes. Fasting blood glucose ≥126 mg/dL is diagnostic of diabetes mellitus outside of pregnancy, not specifically GDM. Random plasma glucose ≥200 mg/dL is indicative of uncontrolled diabetes in general. Hemoglobin A1c (HbA1c) ≥6.5% is used for diagnosing diabetes outside of pregnancy and is not specific to GDM.